, Test Bank-Ham's Primary Care Geriatrics- r r r r
ACase-Based Approach 7th Edition Latest
r r r r r r
2024
r
Chapter 1. Principles ofPrimaryCare ofOlder Adults
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MULTIPLE CHOICE n
1. In2010, the revised Standards and Scope of Gerontological Nursing Practice was published.
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The nurse would use these standards to:
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a. promotethe practice ofgerontologic nursing within the acute care setting. n n n n n u n n
b. define the concepts and dimensions of gerontologic nursing practice.
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c. elevatethepractice ofgerontologic nursing. n n
d. incorporatesuggested interventions fromothers who practice gerontologic nursing. n n u n r n
ANS: D
n n
Thecurrent publishing of the Standards and Scope of Gerontological Nursing Practice in 2010
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incorporatesthe input ofgerontologic nurses from acrossthe UnitedStates. It was not intended to
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npromote gerontologic nursing practice within acute care settings, define concepts or dimensions
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nof gerontologic nursing practice, or elevate the practice of gerontologic nursing. DIF:
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nRemembering(Knowledge)REF: msc: 2 OBJ: 1-1 n n r u r
TOP: N/A MSC: Safe and Effective Care Environment
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2. When attempting to minimizethe effect ofageism on the practice o fnursing older adults, a
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nnurse needs to first: n n n
a. recognizethat nurses must act as advocates for aging patients. n u n n ru n n r n
b. accept that this population represents a substantial portion ofthose requiring nursingcare.
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c. self-reflect and formulate ones personal view ofaging and the o lder patient.
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d. recognizeageismas a formof bigotryshared bymany Americans. n u u r n n
ANS: C
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Ageism is an ever-increasing prejudicial view ofthe effects ofthe aging process and ofthe older
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npopulation as a whole. With nurses being members ofa societyholding such views, it is critical that
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nthe individual nurse self-reflect on personal feelings and determine whether such feelings
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will affect the nursing care that he or she provides to the aging patient. Acting as an advocate is an
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important nursing role in all settings. Simply accepting a fact does not help end ageism, nor
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does recognizing ageism as a form of bigotry.
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DIF: Applying (Application) REF: N/AOBJ: 1-9
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TOP:Teaching-Learning MSC: Safeand Effective Care Environment n n n n n
3. When discussing factorsthat have helpedto increasethe number ofhealthy, independent
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olderAmericans, the nurse includes the importance of:
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a. increasedavailabilityofin-homecareservices.
b. government support ofretired citizens. n n n
c. effectiveantibiotic therapies. n
d. thedevelopment of life-extendingtherapies. n n
,ANS: C n
The health and ultimate autonomy of older Americans has been positively impacted by the
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ndevelopment of antibiotics, better sanitation, and vaccines. These public health measures
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nhavebeen more instrumentalin increasingthe numbers ofhealthy, independent older Americans
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nthanhave in-home care services, government programs, or life-extending therapies.
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DIF:Remembering (Knowledge) REF: msc: 2 OBJ: 3-3
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TOP:NursingProcess: Implementation MSC: HealthPromotionand Maintenance
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4. Based on current data,whenpresenting anolder adultsdischarge teaching plan, the nurse
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nincludes the patients: n n
a. nonrelatedcaretaker.
b. paidcaregiver.
c. familymember.
d. intuitional n
representative.ANS: C n
Less than 4% ofolder adults live in a formal health care environment. The majorityofthe
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geriatricpopulationlivesat homeorwith familymembers.DIF: n n
Applying (Application) REF: N/AOBJ: 3-3 n n n n
TOP: Nursing Process: Planning MSC: Safe and Effective Care Environment
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5. Thenurseplanningcare foran olderadult who has recently beendiagnosed with rheumatoid n n n n u r u n u
narthritis views the priority criterion for continued independence to be the patients:
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a. age.
b. financialstatus.
c. gender.
d. functionalstatus. r
nANS: D n
Maintainingthe functional status ofolder adults mayavert theonset ofphysical frailtyand
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cognitiveimpairment, two conditionsthat increase the likelihoodofinstitutionalization.
n u n n u u n
nDIF: Remembering (Knowledge) REF: msc: 8 OBJ: 1-6
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TOP: Nursing Process: Planning MSC: Physiologic Integrity
n n n n n n
6. A nurse working with the older adult population is most likelyto assess a need fora financial
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nsocial services referral for a(n):
u n u u
a. whitemale.
b. black female. nu
c. Hispanic male. u
d. Asian American female. u n
nANS: B n
Thepovertyrate among older black women is substantiallyhigher than that seen among males or
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femalesofotherethnic groups. White males hadthe least n n n n n
npoverty.DIF: Applying (Application) REF: N/AOBJ: 1-4 n n n n n
TOP: NursingProcess: Assessment MSC: Safeand Effective CareEnvironment
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, 7. Which ofthe followingstatementsmade bya nurse preparing to completea health
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nassessmentand history on an older patient reflects an understanding of the general health
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nstatusof this population?
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a. Illneed todocument well regardingthe medications the patient is currentlyprescribed. n n n n n n n n
b. I would like to understand howsupportive the patients familymembers are.
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c. Most olderpatients are being treated fora varietyof chronic healthcare issues.
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d. It will be interesting to see whether this patient sees herself as being
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nhealthy.ANS: D n n
It is a misconceptionthat old age is synonymous with disease and illness. The nurse should
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always determinethe patients sense o fwellness and independence when conducting a health and
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nhistoryassessment. An assessment of medication use and family support is important for any
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n patient. Manyolder adults do have chronic health conditions, but their perception is more
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nimportant than a single number. n n n n
DIF: Applying (Application) REF: N/AOBJ: 1-4
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TOP: NursingProcess: Assessment MSC: HealthPromotion
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8. The nurse is caring for an older adult who has been admitted to an acute care hospital for
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ntreatment ofa fractured femur. The familyexpresses concernabout the patients pending transfer
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nto a subacute care facility. What response by the nurse is best?
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a. Acutecare facilities lack the long-term physical therapy support your dad requires. n n n n r u n n u n
b. Your dad will be much happier in a more serene, private environment.
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c. The subacute facilitywill focus on helping your dad maintain his independence.
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d. Insurance, including Medicare, willcover onlya limitedamount oftime here. n n n u u n n
nANS: C n
Thetransfer ofthe patient to a subacute facility is based on the need to maintain the patients
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level of function and independence, a task the acute care facility is not prepared to address once the
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npatient is physiologically stable. The patient mayor may not be happier in the new setting; the
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nnurse should not make this judgment. It is true that insurance only pays for a limited amount of time
n n u n n n n n n u n n n n n n n n
nin an acute care facility, but this is not the best reason for the patient to transfer.
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DIF: Applying(Application)REF: N/AOBJ:1-6
n n u n
nTOP: Communication and Documentation
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nMSC: HealthPromotion and Maintenance
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9. To best assure boththe quality of care and the safety ofthe older adult patient who requires in-
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nhome unlicensed assistive personal (UAP) assistance, the geriatric nurse:
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a. evaluates the competencyofthe UAP staff. u n n n
b. assumes the roles of case manager and patient advocate.
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c. arranges forthe needed UAPprovided services. n n n n
d. assesses thepatientforfunctionallimitations. u n
nANS: A n
Asmore caretraditionallyprovided byprofessional nurses is beingtransferred to UAP, the nurse
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must assume moreresponsibilityforeducating, training, and evaluatingthe competencyof
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UAPstaff to provide safe, effective care for the older adult patient.
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DIF: Applying (Application) REF: N/AOBJ: 1-2
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